When is exercise therapy recommended for tennis elbow?

Tennis elbow is pain and sensitivity in the outer elbow region, often involving the forearm tendons that help extend the wrist. A programme may begin with gentle range-of-motion work and isometric loading, then progress to strengthening the wrist, forearm, and shoulder. The goal is better tolerance for gripping and lifting, not forcing the elbow through sharp pain.

Ask a clinician or physiotherapist to check the diagnosis and identify tasks that overload the arm, such as repeated gripping, tool use, or mouse work. Modify those tasks, keep the wrist in a comfortable position, and practise the prescribed exercises consistently. Increase resistance or repetitions only when the current level remains manageable during and after activity.

Seek prompt care after a major injury, sudden loss of elbow movement, marked swelling, or new hand weakness or numbness. Arrange reassessment if pain is spreading, grip is deteriorating, or the elbow is not improving with the agreed programme.

Ask which tendon or joint is involved, what level of discomfort is acceptable during loading, whether a brace could help a specific task, and when work or sport can be increased.